Individual
BRIANA LAUREN REY KOLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PC PNP
Contact information
Practice address
7102 WESTWIND DR, EL PASO, TX 79912-1726
(915) 581-5100
Mailing address
1078 JADE HILL AVE, SANTA TERESA, NM 88008-9568
(915) 996-7862
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
54491
NM
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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